Debra Ann Fissell, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA17274 Issued in FL

Practice address

4406 S. Florida Ave, #16
Leading Edge
Lakeland, FL 33813

Phone

(863) 648-0099

Fax

(863) 688-1824

NPI assigned

Nov 2, 2010

Last updated

Nov 2, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288656000000",
    "number": "1659671907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4406 S. FLORIDA AVE, #16",
            "address_2": "LEADING EDGE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "33813",
            "telephone_number": "863-648-0099",
            "fax_number": "863-688-1824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4406 S. FLORIDA AVE, #16",
            "address_2": "LEADING EDGE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "33813",
            "telephone_number": "863-648-0099",
            "fax_number": "863-688-1824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISSELL",
        "first_name": "DEBRA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-02",
        "last_updated": "2010-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA17274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Michal Fisher
• Kayden L Fisher
• Kelly Rose Fisher
• Meredith Annette Fisher, LICENSED MIDWIFE
• Robin Lynne Fisher, MS/CCC/SLP
• Fitness Chiropractic & Rehab LLC
• Christopher M Fitts, MD
• Emily Fitzgerald, CERT ASD SPECIALIST
• Diana Kay Fizette, PA
• Flamingo Homecare LLC

• Physical Therapy Assistant in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.